I  3 


DEPARTMENT  OF  COMMERCE  AND  LABOR 

BUREAU  OF  LABOR 


COMPENSATION  TO 

INJURED  GOVERNMENT 

EMPLOYEES 


REGULATIONS  ISSUED  BY  THE  SECRETARY 
OF  COMMERCE  AND  LABOR  GOVERNING  THE 
OPERATION  OF  THE  GOVERNMENT  COMPEN- 
SATION ACT  FOR  EMPLOYEES  INJURED  IN 
THE  SERVICE  OF  THE  UNITED  STATES  <&  & 


ACTS  OF  MAY  30,  1908;  MARCH  4,  191  lj  MARCH  It,  1312 


WASHINGTON 

[  GOVERNMENT  PRINTING  OFFICE 

1913 


DEPARTMENT  OF  COMMERCE  AND  LABOR 

BUREAU   OF   LABOR 


COMPENSATION  TO 

INJURED  GOVERNMENT 

EMPLOYEES 


REGULATIONS  ISSUED  BY  THE  SECRETARY 
OF  COMMERCE  AND  LABOR  GOVERNING  THE 
OPERATION  OF  THE  GOVERNMENT  COMPEN- 
SATION ACT  FOR  EMPLOYEES  INJURED  IN 
THE  SERVICE  OF  THE  UNITED  STATES  £>  j& 


ACTS  OF  MAY  30,  1908;   MARCH  4,  191 1;  MARCH  11,  1912 


WASHINGTON 
,  GOVERNMENT  PRINTING  OFFICE 

1912 


Digitized  by  the  Internet  Archive 

in  2012  with  funding  from 

LYRASIS  Members  and  Sloan  Foundation 


http://archive.org/details/compensationtoinOOunit 


REGULATIONS 

CONCERNING   THE   DUTIES    OF   EMPLOYEES,    OFFICIAL    SUPERIORS,    AND 

MEDICAL  OFFICERS. 

DUTIES   OF  EMPLOYEES. 

1.  Reports  of  Injuries. — Whenever  any  injury  is  sustained  by  an 
employee  in  the  course  of  his  employment,  he  shall  immediately  re- 
port the  same  to  his  official  superior,  if  he  is  able  to  do  so,  giving  also 
a  statement  of  the  facts  and  the  names  of  witnesses,  if  any. 

2.  First-aid  Treatment. — No  matter  how  slight  the  injury  sus- 
tained, the  injured  employee  shall  immediately  apply  to  the  dispen- 
sary or  medical  officer,  if  there  be  one,  for  examination  and  for  first- 
aid  treatment,  and  it  shall  be  the  duty  of  his  official  superior  to  direct 
him  to  do  so. 

3.  Reports  of  Disability. — -In  case  the  disability  arises  some  time 
after  the  injury  has  been  received,  it  shall  be  the  duty  of  the  injured 
employee  to  notify  his  official  superior  within  48  hours  from  the 
beginning  of  such  disability. 

4.  Treatment. — It  shall  be  the  duty  of  each  injured  employee 
intending  to  take  advantage  of  the  provisions  of  the  act  to  obtain  nec- 
essary medical  and  surgical  treatment  and  to  comply  with  all  reason- 
able orders  for  treatment  and  conduct  which  the  attending  physician 
may  give.  He  shall  also  submit  to  such  medical  examinations  as  his 
official  superior  may  from  time  to  time  direct. 

5.  Notices  of  Continuing  Disability. — Every  employee  injured 
in  the  course  of  employment  who  is  unable  to  return  to  work  because 
of  such  injury,  shall,  within  24  hours,  inform  his  official  superior  of 
such  fact,  either  in  person  or  by  mail,  telephone,  or  messenger.  Such 
notice  shall  be  given  by  the  injured  employee  or  for  him  every  week, 
unless,  in  the  opinion  of  the  official  superior,  the  permanent  nature  of 
the  injury  makes  this  notice  unnecessary.  Such  notice  should  state 
when  the  injured  employee  was  last  seen  by  his  attending  physician. 

6.  Examinations. — For  the  purpose  of  the  medical  examinations 
prescribed  by  the  act,  the  injured  employee  shall  appear  at  the  dis- 
pensary of  the  establishment  whenever  directed  to  do  so ;  but  if  he 
claims  to  be  unable  to  present  himself  for  such  examination  the  medi- 
cal officer  or  other  officially  designated  physician  may  call  at  the  resi- 
dence of  the  injured  employee  in  order  to  make  an  examination.  The 
injured  employee  shall  be  entitled  to  have  his  attending  plvysician 
present  during  such  examination. 

SS570°— 12  (3) 


7.  Disagreements.— If  the  injured  employee  refuses  to  accept  the 
opinion  of  the  official  examining  physician  as  to  his  ability  to  resume 
work,  either  because  of  a  different  opinion  held  by  his  private  physi- 
cian or  for  any  other  reason,  the  employee  shall  immediately  so  report 
to  his  official  superior,  who  will  in  turn  report  the  same  to  the  Secre- 
tary of  Commerce  and  Labor. 

8.  Examinations  by 'Order  of  the  Department  of  Commerce 
and  Labor. — On  receipt  of  reports  concerning  disagreement  between 
the  claimant  or  his  physician  and  the  official  examining  physician,  the 
Secretary  of  Commerce  and  Labor  will  immediately  order  an  ex- 
amination of  the  claimant  by  a  physician  designated  by  him,  so  as 
to  ascertain  the  claimant's  physical  condition;  and  if  the  employee 
refuses  to  submit  to  or  obstructs  such  examination  the  right  to  com- 
pensation shall  be  lost  for  the  period  covered  by  the  continuance  of 
such  refusal  or  obstruction. 

9.  Claims. — The  claim,  properly  filled  out,  must  be  presented  by 
the  injured  employee  to  his  official  superior,  who  shall  forward  the 
same,  with  the  statements  of  witnesses,  if  there  were  witnesses, 
through  the  regular  official  channels  for  transmission  to  the  Secre- 
tary of  Commerce  and  Labor. 

10.  Certificates. — In  cases  of  continuing  disability  the  injured 
employee  shall  furnish  such  medical  certificates  from  time  to  time  as 
the  official  superior  may  require. 

11.  Disregard  of  Instructions. — Where  an  injured  employee 
shall  fail  to  make  any  of  the  reports  prescribed  in  these  regulations, 
or  refuses  to  submit  himself  to  examination  by  the  medical  officer 
or  other  officially  designated  physician,  when  ordered  by  his  official 
superior  to  do  so,  such  refusal  or  failure  will  be  considered  by  the 
Secretary  of  Commerce  and  Labor  as  presumptive  evidence  against 
his  right  to  compensation  under  the  law. 

DUTIES   OF   OFFICIAL   SUPERIORS. 

12.  Record  of  Accident. — Whenever  an  accident  causing  injury 
to  an  employee  comes  to  the  knowledge  of  the  person  in  charge  of 
such  employee  he  should  immediately  secure  a  record  of  the  cause 
and  nature  of  the  accident  and  the  nature  and  extent  of  the  injury, 
however  slight.  The  names  and  testimony  of  witnesses  should  also 
be  secured,  and  the  employee  directed  to  apply  to  the  dispensary  or 
medical  officer,  if  there  be  one,  for  examination  and  first-aid  treatment. 

13.  Reports  of  Injuries. — All  injuries  which  prevent  the  em- 
ployee from  performing  work  for  one  day  or  longer  should  be  re- 
ported to  the  Secretary  of  Commerce  and  Labor  by  the  official 
superior  of  such  employee,  on  the  form  provided  for  that  purpose, 
within  48  hours  after  such  injuries  have  been  brought  to  the  notice 


of  such  official  superior.  The  reports  called  for  in  paragraphs  num- 
bered 1,  3,  13,  14,  and  1C  should  be  made  for  all  employees  regard- 
less of  the  application  of  the  provisions  governing  compensation. 

11.  Report  of  Termination  of  Disability. — Whenever  a  person 
who  has  been  reported  disabled  by  an  accident  is  able  to  return  to 
work  his  official  superior  should  immediately  report  the  termination 
of  such  disability  to  the  Secretary  of  Commerce  and  Labor  on  the 
proper  form. 

15.  Disagreements. — The  official  superior  should  make  immediate 
report  directly  to  the  Secretary  of  Commerce  and  Labor  of  all  cases 
of  disagreement  between  the  injured  employee  and  the  official  ex- 
amining physician  as  to  the  ability  of  the  emplo37ee  to  resume  work. 

16.  Report  of  Death. — Whenever  an  injury  received  in  the  course 
of  employment  results  in  death,  either  immediately  or  within  one 
year  thereafter,  such  death  should  be  reported  on  the  proper  form 
as  soon  as  possible  after  the  knowledge  of  such  death  reaches  the 
official  superior  of  the  deceased  employee. 

17.  Blanks  to  be  Furnished. — Whenever  the  official  superior  of 
an  injured  employee  has  reason  to  believe  from  the  statement  of  the 
medical  officer  or  other  officially  designated  physician,  or  from  any 
other  evidence,  that  disability  has  lasted  more  than  15  days,  he 
should  furnish  such  employee  with  a  blank  form  for  claim  and  call 
his  attention  to  the  provisions  of  the  compensation  act.  Blank  forms 
should  be  furnished  upon  request  to  any  employee  wishing  to  make 
a  claim. 

IS.  Indorsement  of  Claims. — The  official  superior  or  other  per- 
son designated  should  either  fill  out  and  sign  the  certificate  of 
approval  provided  for  that  purpose,  or  indicate  the  reasons  for  his 
refusal  to  give  his  approval.  In  either  case,  statements  of  witnesses, 
if  any,  and  copies  of  the  records  of  the  examination  of  the  claimant 
by  the  medical  officer  or  officially  designated  plrysician,  if  such  exam- 
inations have  been  made,  should  be  attached  to  the  claim,  and  the 
entire  record  submitted  to  the  Secretary  of  Commerce  and  Labor,  to 
whom  the  determination  of  the  validity  of  all  claims  is  committed 
by  the  act. 

19.  Claims  to  he  Forwarded. — All  claims  for  compensation  when 
filled  out  and  presented  by  injured  employees  to  their  official  supe- 
riors should  be  forwarded  by  them  through  the  regular  official  chan- 
nels for  transmission  to  the  Secretary  of  Commerce  and  Labor.  No 
letter  of  transmittal  is  necessary.  All  information  desired  should 
be  made  part  of  the  indorsement  on  such  claims. 

20.  Approval  or  Disapproval. — Notice  of  the  approval  or  disap- 
proval of  claims  will  be  forwarded  from  the  office  of  the  Secretary 
of  Commerce  and  Labor  to  the  heads  of  the  respective  departments, 


or  independent  office,  for  transmittal  to  the  official  superior  of  the 
employee. 

21.  Payments. — Payments  under  this  law  should  be  made  at  the 
regular  intervals  at  which  salaries  are  paid  to  all  employees,  except 
payments  accrued  before  the  receipt  of  the  approved  claim,  which 
should  be  made  as  soon  after  the  receipt  of  the  approval  as  possible 
so  as  to  avoid  unnecessary  hardship  to  the  employee.  If  subsistence 
is  furnished  during  employment  but  not  during  the  period  of  dis- 
ability, the  value  of  the  subsistence  should  be  allowed  to  the  injured 
workman  during  disability  in  addition  to  the  wages  usually  paid  in 
cash. 

When  compensation  is  approved  for  a  fixed  period,  payments  may 
be  made  on  the  authority  of  such  approval  without  further  evidence. 

When  compensation  is  approved  for  an  indefinite  period,  each 
payment  shall  be  based  upon  the  certificate  signed  by  the  claimant 
and  approved  by  the  claimant's  official  superior  to  the  effect  that 
during  the  time  covered  by  the  said  jDayment  the  claimant  was  unable 
to  resume  work  and  that  inability  to  so  resume  work  was  the  result 
of  the  injury  for  which  compensation  was  granted. 

In  no  case  shall  annual  leave  be  charged  against  any  portion  of 
the  period  for  which  compensation  is  due. 

22.  Certificates. — If  the  claimant's  superior  officer  is  unable  to 
satisfy  himself  that  the  claimant  was  unable  to  resume  work  for  any 
period  for  which  compensation  is  claimed,  he  may  require  that  the 
claimant  submit  to  him  a  certificate  from  a  duly  authorized  medical 
practitioner  showing  the  continuance  of  the  inability  to  resume 
work. 

23.  Special  Examinations. — If  this  medical  certificate  is  satis- 
factory to  the  official  superior,  he  should  then  approve  payment; 
but  if  the  certificate  does  not  satisfy  him  he  may  require  the  medical 
officer  or  officially  designated  physician,  where  such  is  available,  to 
examine  the  claimant  for  the  purpose  of  ascertaining  whether  the 
disability  still  exists. 

24.  Payments  "Withheld. — In  all  cases  where  the  continuance  of 
disability  has  not  been  proved  to  the  satisfaction  of  the  superior 
officer,  or  where  the  results  of  the  examination  of  the  claimant  by 
the  medical  officer  or  officially  designated  physician  are  contradictory 
to  the  statements  of  the  attending  physician,  payments  should  be 
withheld  and  a  report  of  these  facts  should  be  immediately  for- 
warded directly  to  the  Secretary  of  Commerce  and  Labor.  A  detailed 
report  of  the  examination  of  the  claimant  by  the  medical  officer  or 
officially  designated  physician,  if  any  has  been  made,  should  accom- 
pany this  report,  together  with  the  statement  of  the  employee  and  a 
certificate  of  his  attending  physician. 


25.  Examination  by  Physician  of  Department  of  Commerce 
and  Labor. — On  receipt  of  reports  concerning  disagreement  between 
the  claimant  or  his  physician  and  the  official  superior,  the  Secretary 
of  Commerce  and  Labor  will  immediately  order  an  examination  of 
the  claimant  by  a  physician  designated  by  him,  so  as  to  ascertain  the 
claimant's  ability  to  return  to  work. 

26.  Decision. — The  decision  of  the  department  will  then  be  com- 
municated to  the  official  superior.  If  the  claim  of  the  injured  person 
be  sustained,  the  amount  due  him  should  be  paid  as  soon  as  possible 
after  the  receipt  of  the  decision. 

27.  Discontinuance  of  Payments. — When  payments  are  discon- 
tinued because  of  recovery  or  other  reason,  such  fact  should  be  re- 
ported to  the  Department  of  Commerce  and  Labor  on  the  blanks 
furnished  for  that  purpose. 

28.  Examination  at  End  of  Six  Months. — Whenever  compensa- 
tion has  been  paid  for  any  case  of  disability  for  five  months  and  there 
is  a  possibility  of  the  disability  lasting  so  as  to  extend  over  six  months, 
the  official  superior  of  the  injured  emplo^yee  should  report  the  fact 
to  the  Secretary  of  Commerce  and  Labor,  so  as  to  enable  him  to  order 
as  soon  as  possible  a  medical  examination. 

29.  Death. — Whenever  a  person  in  the  employ  of  the  Government 
shall  die  as  the  result  of  injury  received  in  the  course  of  his  employ- 
ment, and  his  wife,  his  children  under  16  years  of  age,  or  his  parents 
desire  to  claim  payment  under  this  act,  they  should  be  furnished  with 
blank  forms  of  claim  for  compensation.  If  the  official  superior  has 
reason  to  believe  that  the  person  so  injured  is  covered  by  the  pro- 
visions of  the  law  he  should  inform  the  dependent  relatives,  if  the 
names  and  addresses  of  such  relatives  can  be  ascertained  by  him,  of 
the  necessary  procedure  under  the  law  and  the  provision  as  to  the 
90-day  limit. 

If  the  persons  who  may  be  entitled  to  compensation  on  account  of 
the  death  of  an  employee  are  located  in  a  foreign  country,  they  may 
file  their  affidavits  of  claim,  respectively,  with  the  consular  officer  of 
the  United.  States  located  most  conveniently,  and  any  affidavit  so  filed 
within  90  days  after  the  death  will  be  considered  as  having  been  duly 
filed  with  the  Secretary  of  Commerce  and  Labor,  as  required  by  sec- 
tion 4  of  the  compensation  act. 

30.  Death  Benefits. — Claims  for  compensation  on  account  of  death 
should  be  forwarded  to  the  Secretary  of  Commerce  and  Labor.  If 
the  claim  be  established  and  compensation  is  clue  to  more  than  one 
person  the  Secretary  of  Commerce  and  Labor  will  designate  the  por- 
tion to  be  paid  to  each  claimant. 

31.  Employees  to  Have  Laws  and  Regulations. — Copies  of  the 
law  and  the  regulations  should  be  on  hand  in  each  establishment  and, 


upon  request,  furnished  free  to  all  employees  for  their  information 
and  guidance. 

A  summary  prepared  by  the  Secretary  of  Commerce  and  Labor, 
presenting  the  principal  provisions  of  the  compensation  act  and  the 
regulations  governing  its  application,  should  be  posted  in  establish- 
ments affected  by  the  act,  in  such  numbers  and  places  as  to  be  easily 
accessible  to  all  the  workmen. 

DUTIES   OF   MEDICAL   OFFICERS. 

32.  First-Aid  Treatment. — The  medical  officer  of  each  establish- 
ment or  his  assistant,  where  such  services  are  available,  should  render 
such  immediate  aid  as  is  necessary  to  each  employee  of  the  establish- 
ment injured  while  on  duty,  and  make  a  report  to  the  head  of  the 
establishment  of  the  exact  extent  of  the  injury  and  the  nature  of  the 
treatment  administered,  and  a  detailed  record  of  the  same  should  be 
kept  on  file  in  his  office. 

33.  Subsequent  Examinations. — The  medical  officer  or  officially 
designated  physician  should  examine  the  injured  employee  as  fre- 
quently as  is  necessary  in  his  opinion  or  in  the  opinion  of  the  head  of 
the  establishment  during  the  absence  of  such  employee  from  his  work. 

34.  Records. — A  record  of  each  examination  by  the  medical  officer 
or  officially  designated  physician  should  be  made  in  detail  and  con- 
tain an  accurate  description  of  the  general  condition  of  the  employee, 
the  state  of  the  injuries,  and  an  opinion  as  to  whether  the  disability 
still  continues.  Such  record  should  be  kept  on  file  in  the  office  of  the 
medical  officer  or  officially  designated  physician,  and  reports  of  the 
findings  should  be  made  to  the  head  of  the  establishment. 

35.  Treatment. — The  medical  officer  or  officially  designated  physi- 
cian should  ascertain  whether  the  injured  employee  is  under  treat- 
ment of  a  duly  licensed  practitioner  of  medicine,  and  if  he  finds  this 
not  to  be  the  case  he  should  inform  the  injured  employee  of  the 
necessity  of  medical  attendance  whenever  such  necessity  exists. 

36.  Opinion  as  to  Termination  of  Disability. — The  medical 
officer  or  officially  designated  physician  making  any  examination 
should  inform  the  injured  employee  of  his  opinion  concerning  the 
continuance  or  termination  of  disability. 


TEXT  OF  THE  ACTS 

PROVIDING     COMPENSATION    FOR    ARTISANS    AND     LABORERS     INJURED     IN 
THE   SERVICE   OF   THE   UNITED    STATES. 

ACT   OF  MAY   30,   igo8. 
[35  Stat.,  550.] 

That  when,  on  or  after  August  first,  nineteen  hundred  and  eight. 
any  person  employed  by  the  United  States  as  an  artisan  or  laborer  in 
any  of  its  manufacturing  establishments,  arsenals,  or  navy  yards, 
or  in  the  construction  of  river  and  harbor  or  fortification  work  or  in 
hazardous  employment  on  construction  work  in  the  reclamation  of 
arid  lands  or  the  management  and  control  of  the  same,  or  in  hazard- 
ous employment  under  the  Isthmian  Canal  Commission,  is  injured  in 
the  course  of  such  employment,  such  employee  shall  be  entitled  to  re- 
ceive for  one  year  thereafter,  unless  such  emplo}Tee,  in  the  opinion  of 
the  Secretary  of  Commerce  and  Labor,  be  sooner  able  to  resume  work, 
the  same  pay  as  if  he  continued  to  be  employed,  such  payment  to  be 
made  under  such  regulations  as  the  Secretary  of  Commerce  and  Labor 
may  prescribe:  Provided,  That  no  compensation  shall  be  paid  under 
this  act  where  the  injury  is  due  to  the  negligence  or  misconduct  of  the 
employee  injured,  nor  unless  said  injury  shall  continue  for  more  than 
fifteen  days.  All  questions  of  negligence  or  misconduct  shall  be  de- 
termined by  the  Secretary  of  Commerce  and  Labor. 

Sec.  2.  That  if  any  artisan  or  laborer  so  employed  shall  die  during 
the  said  year  by  reason  of  such  injury  received  in  the  course  of  such 
employment,  leaving  a  widow,  or  a  child  or  children  under  sixteen 
years  of  age,  or  a  dependent  parent,  such  widow  and  child  or  children 
and  dependent  parent  shall  be  entitled  to  receive,  in  such  portions  and 
under  such  regulations  as  the  Secretary  of  Commerce  and  Labor  may 
prescribe,  the  same  amount,  for  the  remainder  of  the  said  year,  that 
said  artisan  or  laborer  would  be  entitled  to  receive  as  pay  if  such  em- 
ployee were  alive  and  continued  to  be  employed :  Provided,  That  if 
the  widow  shall  die  at  any  time  during  the  said  year  her  portion  of 
said  amount  shall  be  added  to  the  amount  to  be  paid  to  the  remaining 
beneficiaries  under  the  provisions  of  this  section,  if  thei'e  be  any. 

Sec.  3.  That  whenever  an  accident  occurs  to  any  employee  embraced 
within  the  terms  of  the  first  section  of  this  act,  and  which  results  in 
death  or  a  probable  incapacity  for  work,  it  shall  be  the  duty  of  the 
official  superior  of  such  employee  to  at  once  report  such  accident  and 
the  injury  resulting  therefrom  to  the  head  of  his  bureau  or  independ- 
ent office,  and  his  report  shall  be  immediately  communicated  through 
regular  official  channels  to  the  Secretary  of  Commerce  and  Labor. 
Such  report  shall  state,  first,  the  time,  cause,  and  nature  of  the  acci- 
dent and  injury  and  the  probable  duration  of  the  injury  resulting 
therefrom;  second,  whether  the  accident  arose  out  of  or  in  the  course 
of  the  injured  person's  employment:  third,  whether  the  accident  was 
due  to  negligence  or  misconduct  on  the  part  of  the  employee  injured ; 

(9) 


10 

fourth,  any  other  matters  required  by  such  rules  and  regulations  as 
the  Secretary  of  Commerce  and  Labor  may  prescribe.  The  head  of 
each  department  or  independent  office  shall  have  power,  however,  to 
charge  a  special  official  with  the  duty  of  making  such  reports. 

Sec.  4.  That  in  the  case  of  any  accident  which  shall  result  in  death, 
the  persons  entitled  to  compensation  under  this  act  or  their  legal  rep- 
resentatives shall,  within  ninety  days  after  such  death,  file  with  the 
Secretary  of  Commerce  and  Labor  an  affidavit  setting  forth  their 
relationship  to  the  deceased  and  the  ground  of  their  claim  for  com- 
pensation under  the  provisions  of  this  act.  This  shall  be  accompanied 
by  the  certificate  of  the  attending  physician  setting  forth  the  fact  and 
cause  of  death,  or  the  nonproduction  of  the  certificate  shall  be  satis- 
factorily accounted  for.  In  the  case  of  incapacity  for  work  lasting 
more  than  fifteen  days,  the  injured  party  desiring  to  take  the  benefit 
of  this  act  shall,  within  a  reasonable  period  after  the  expiration  of 
such  time,  file  with  his  official  superior,  to  be  forwarded  through 
regular  official  channels  to  the  Secretary  of  Commerce  and  Labor, 
an  affidavit  setting  forth  the  grounds  of  his  claim  for  compensation, 
to  be  accompanied  by  a  certificate  of  the  attending  physician  as  to  the 
cause  and  nature  of  the  injury  and  probable  duration  of  the  incapac- 
ity, or  the  nonproduction  of  the  certificate  shall  be  satisfactorily 
accounted  for.  If  the  Secretary  of  Commerce  and  Labor  shall  find 
from  the  report  and  affidavit  or  other  evidence  produced  by  the  claim- 
ant or  his  or  her  legal  representatives,  or  from  such  additional  inves- 
tigation as  the  Secretary  of  Commerce  and  Labor  may  direct,  that  a 
claim  for  compensation  is  established  under  this  act,  the  compensa- 
tion to  be  paid  shall  be  determined  as  provided  under  this  act  and 
approved  for  payment  by  the  Secretary  of  Commerce  and  Labor. 

Sec.  5.  That  the  employee  shall,  whenever  and  as  often  as  required 
by  the  Secretary  of  Commerce  and  Labor,  at  teast  once  in  six  months, 
submit  to  medical  examination,  to  be  provided  and  paid  for  under 
the  direction  of  the  Secretary,  and  if  such  employee  refuses  to  sub- 
mit to  or  obstructs  such  examination  his  or  her  right  to  compensation 
shall  be  lost  for  the  period  covered  by  the  continuance  of  such  refusal 
or  obstruction. 

Sec.  6.  That  payments  under  this  act  are  only  to  be  made  to  the 
beneficiaries  or  their  legal  representatives  other  than  assignees,  and 
shall  not  be  subject  to  the  claims  of  creditors. 

Sec.  7.  That  the  United  States  shall  not  exempt  itself  from  liabil- 
ity under  this  act  by  any  contract,  agreement,  rule,  or  regulation,  and 
any  such  contract,  agreement,  rule,  or  regulation  shall  be  pro  tanto 
void. 

Sec.  8.  That  all  acts  or  parts  of  acts  in  conflict  herewith  or  pro- 
viding a  different  scale  of  compensation  or  otherwise  regulating  its 
payment  are  hereby  repealed. 

ACT  OF  MARCH  4,  1911. 
[36  Stat.,  1452.] 

Section  5.  Hereafter  the  act  granting  to  certain  employees  of  the 
United  States  the  right  to  receive  from  it  compensation  for  injuries 
sustained  in  the  course  of  their  employment  shall  apply  to  all  em- 
ployees under  the  Isthmian  Canal  Commission,  when  injured  in  the 


11 

course  of  their  employment;  and  claims  for  compensation  on  account 
of  injury  or  death  resulting  from  an  accident  occurring  hereafter 
shall  be  settled  by  the  chairman  of  the  Isthmian  Canal  Commission, 
who  shall,  as  to  such  claims  and  under  such  regulations  as  he  may 
prescribe,  perform  all  the  duties  now  devolving  upon  the  Secretary 
of  Commerce  and  Labor:  Provided,  That  when  an  injury  results  in 
death  claim  for  compensation  on  account  thereof  shall  be  filed  within 
one  year  after  such  death. 

ACT  OF  MARCH   n,   1912. 
[37  Stat.,  .] 

That  the  provisions  of  the  act  approved  May  thirtieth,  nineteen 
hundred  and  eight,  entitled  "An  act  granting  to  certain  employees 
of  the  United  States  the  right  to  receive  from  it  compensation  for 
injuries  sustained  in  the  course  of  their  employment,"  shall,  in  addi- 
tion to  the  classes  of  persons  therein  designated,  be  held  to  apply  to 
any  artisan,  laborer,  or  other  employee  engaged  in  any  hazardous 
work  under  the  Bureau  of  Mines  or  the  Forestry  Service  of  the 
United  States:  Provided,  That  this  act  shall  not  be  held  to  embrace 
any  case  arising  prior  to  its  passage. 


FORMS 

FOR  USE  IN  ADMINISTERING  THE  COMPENSATION  ACT. 

The  following  blank  forms  are  required  for  the  purposes  of  admin- 
istering the  act: 

C.  A. — lb.  Immediate  Report  of  Injury. 

C.  A. — 2b.  Report  of  Termination  of  Disability. 

C  A. — 3a.  Report  of  Death  from  Injury. 

C.  A. — 4b.  Claim  for  Compensation  on  Account  of  Injury. 

C.  A. — 7a.  Certificate  of  Disability. 

C  A. — 8.  Request  for  Medical  Examination. 

C.  A. — 15a.  Report  of  Discontinuance  of  Compensation  Payments. 

C.  A. — 16b.  Claim  for  Compensation  on  Account  of  Death. 

C.  A. — 19a.  Regulations  Governing  the  Application  of  the  Act  of 
May  30,  1908. 

C  A. — 20a.  Notice  of  Right  to  Compensation  (for  posting). 

A  supply  of  these  forms  will  be  furnished  each  department  and 
independent  establishment  by  the  Secretary  of  Commerce  and  Labor, 
upon  request.  Official  superiors  should  procure  necessary  forms 
from  the  head  of  their  department,  bureau,  or  establishment. 

Approved. 

Charles  Xagel, 
Secretary  of  Commerce  and  Labor. 

April  15,  1912. 

o 


PENN 


A00007Q^0130b 


